Elizabeth Marie Kotroba, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21503 Issued in MD

Practice address

9909 Medical Center Dr
Rockville, MD 20850-6361

Phone

(240) 864-6036

Fax

(240) 864-6209

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Elizabeth Marie Cissel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David L. Higgins, M.D., P.C.

  dba Maryland Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1285781229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1629011499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NATIONAL DR STE 100",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661176",
            "telephone_number": "301-421-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506361",
            "telephone_number": "240-864-6036",
            "fax_number": "240-864-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTROBA",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40707550",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CISSEL",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yaovi Roger Kotchi
• Kunal Dipak Kothari, M.D., M.B.A.
• Brooke Kotick, SLP
• Julie Kotler, M.S. CF- SLP
• Deena Kotlewski, LCPC
• Carol Kotula
• Amie Kotz, LCPC
• Frank Kouadio
• Kouadio Kouadio
• Yao Kouadio

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.